Empress 5-12 Hand Polish Only
This patient was unhappy with the appearance of her teeth; crowns on teeth #8,9 were too wide, multiple stained/failing class V resins, and wear facets.
A wax-up was ordered, patient viewed it, approved the design.
Teeth were prepared, wax of design was transferred to the teeth. Occlusion checked/adjusted.
Patient was seen while in temporaries to check function and esthetics. She requested changes as they appeared "too masculine." Incisal edges were rounded and embrasures opened to soften/feminize the teeth. Eight Empress restorations were milled and hand-polished; no glaze. Final photograph is three months post-delivery.
Take Aways:
1. Start with a wax up.
2. Use reduction guides to ensure that you remove enough tooth structure
3. Have the patient 'test drive' the provisionals; use this time to evaluate esthetics and function.
4. Once the patient is happy, simply copy what's there. All the guesswork is removed from it.
5. Don't be afraid of using CEREC for anterior cases. Take the Level 4A hands-on workshop & see what's possible.
On 3/6/2019 at 8:03 am, Rich Cooper said...This is a great result, Well done! Did you do any tissue recountouring at prep/temp visit?
Thank you. No, no contouring was performed.
Wonderful case with great final contours! Patient has to be thrilled with the result. Thanks for sharing
Great case! The intraoral adjustments you made on the temps and transferred to final restorations really look nice. Did you send your lab a pre-op scan or a traditional models for them to use for the waxup? I'm sure that answer will change with every practice and lab, but I'm trying to decide what works best for me.
Nice result. Anytime I can use empress/vita for the front 8 I just polish they can look amazing with just polish.
On 3/6/2019 at 9:53 am, Tyler Siegert said...Great case! The intraoral adjustments you made on the temps and transferred to final restorations really look nice. Did you send your lab a pre-op scan or a traditional models for them to use for the waxup? I'm sure that answer will change with every practice and lab, but I'm trying to decide what works best for me.
While I have used a digital wax-up in the past, this case was done with a traditional model. Try both methods; see what works best.
